Organization · Type 2 NPI

Florida Dental Professionals, P.a.

General Practice Dentistry · St. Petersburg, FL

NPI number 1811548407 Active

Practice location

390 4th St N Ste 101
St. Petersburg, FL 33701-2802

Call (737) 282-1980 Map

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

Blaine AmmonGeneral Practice Dentistry St. Petersburg, FL NPI 1558988493

Other general practice dentistry providers in St. Petersburg

See all in St. Petersburg →

NPI record

NPI: 1811548407
Entity type: Organization (Type 2)
Issued: Sep 25, 2019
Last updated: Nov 9, 2020
Status: Active
Subpart: Yes of Florida Dental Professionals, P.a.

Other names

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Esthetic & Integrative Dentistry · doing business as

Authorized official

Tabatha Lemke
Credentialing Coordinator
(217) 540-6078

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1811548407

Florida Dental Professionals, P.a.'s National Provider Identifier is 1811548407, issued on Sep 25, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 9, 2020.